my first medication error,what is the proper consequence?
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Hi! I would like to know if it is justifiable to be terminated if i committed a medication error for the first time? I work in a government hospital. on my night shift, I received my 18th patient from ER (ratio here is 1:18). there is a due med at 4 am which is tramadol 1 ampule unfortunately, I gave the wrong medicine, instead of tramadol, i gave ranitidine. I just found out when i went back to sign his medication chart.I admitted that it was my mistake because i carried out the wrong medication. patient is for KUB IVP the following day. I was not properly oriented in the hospital, it was my first time to receive a patient who is for KUB IVP. i thought that the procedure is done also to a room where KUB Ultrasound is done. Is it right to question a nurse competency if she do not know where the KUB IVP is suppose to be done? The headnurse is blaming me she said that if I do not know I should ask them but my point here is they did not properly oriented me and I am surprised that my first medication error would result to termination knowing that the patient is safe after administering Ranitidine. The hospital didnt even give handbook about the hospitals policy and what they usually do to nurses who committed an error. I noticed a lot of error in the hospital but none of these were reported like giving 30 units of hum R instead of 3 units, skin testing of wrong antibiotics, giving also the wrong medication to a patient. Kindly, help me on how can I fight for my rights? I was asked to make an incidental report and i find it difficult because I never made one, this will be my first time. please guide me. Thank you!